Details of participants such as names or information that would otherwise compromise their privacy has been redacted.

Hygieia as one of the ancient Greek healthy goddesses, whose statue is feeding a snake in symbol of “the edge of living and death”, thus makes snake of Hygieia to be regarded as one of paradoxical signifies. Such emblem fits in effect from game engagement to capacity to love of players in Chinese Otome context as this article revelled. With combination of game ontology and psychological theory, we adapt and extend mechanism model described game effect from interpersonal relationship perspective in Chinese Otome game context. Our research collected 444 validated Chinese player data while conducted SEM (Structural Equation Model) for analysis. The results reveled that: 1) Game engagement has an indirectly negative effect to CTL (capacity to love); 2) RHVA as one of the game elements, has a paradoxical effect including direct negative impact, and indirect positive impact through PE (positive emotionality) to CTL. Based on the conclusions, we call upon more attention on game subjectivity and possibility of game as therapy in latter research in the area.

许癸厄亚（Hygieia）作为古希腊健康女神之一，其雕像以喂蛇的形象象征“生死之界”，因此许癸厄亚与蛇的组合形象被视作一类充满矛盾的象征符号。
正如本文所揭示的，这一象征符号在中文乙女游戏（Otome）语境中，其影响覆盖了玩家游戏参与度至恋爱能力的多个维度。
本文结合游戏本体论与心理学理论，从人际关系视角出发，针对中文乙女游戏语境下的游戏影响效应，对相关机制模型进行了适配与拓展。
本研究共收集444份经有效验证的中文玩家样本数据，并采用结构方程模型（SEM，Structural Equation Model）进行分析。
研究结果显示：① 游戏参与度对恋爱能力（CTL，全称：capacity to love）存在间接负向影响；② 作为游戏元素之一的RHVA具有矛盾性效应：既会对恋爱能力产生直接负向影响，又会通过积极情绪（PE，全称：positive emotionality）对其产生间接正向影响。
基于上述研究结论，本文呼吁该领域的后续研究应更多关注游戏的主体性，以及游戏作为治疗手段的可能性。